Friday, April 21, 2017

Resources 3rd-year medical students study during general surgery clerkships

At the University of Florida medical school, the answers to that question varied widely. According to a paper published ahead of print in the American Journal of Surgery, students at UF use review books, e-books such as UpToDate, government agency and professional organization websites, textbooks, journals, and more.

The recommended textbook for the course is Lawrence’s Essentials of General Surgery, now in its fifth edition.

The authors surveyed the 133 members of the 2014-2015 third-year class, and 92 (69.2%) responded. Regarding each resource used, they could answer with one of four choices: always, usually, sometimes, never.

Friday, April 14, 2017

Should a consultant pass through the ED to see what's up?

A couple of weeks ago, this tweet appeared.
I could relate to it for two reasons. One, I lived in New York City in 1975, and here is the other.

Early in my career, I thought it was a good idea when leaving the hospital at night to exit via the emergency department to see if there were any potential surgery cases brewing. I was hoping to avoid going all the way home, getting paged to the ED, and having to go right back to the hospital. I soon learned to stop that practice because it was similar to poking a skunk.

Tuesday, April 4, 2017

Bizarre medical stories ripped from the virtual pages of the Internet

A 30-year-old California woman died after a naturopath gave her an intravenous infusion of turmeric—yes, turmeric, a spice used in curry, supposedly has anti-inflammatory properties when taken by mouth.

An naturopath who only uses turmeric orally was quoted in a San Diego ABC news report, "There are some doctors who use turmeric extract in IV form to try and heighten the physiological effects, so the anti-inflammatory effects of the turmeric. It hasn’t been well studied. It’s more theoretical, so it’s more investigational.” Unlike most naturopathic treatments, IV turmeric hasn't been well studied.

According to NBC San Diego, the medical examiner said she died of a heart attack and ruled the death an accident. In fact, the story was headlined "Tumeric Solution Through IV To Blame, in Part, For Women's Death: ME." In part?

The naturopath has yet to be named in any news story. How is this not manslaughter or criminal negligence? If an MD had given say, oregano intravenously, would it still have been an accident? Would the doctor's name still be unknown? I think it would be on Yahoo's front page.